Family Medicine Board review questions || Instructor-
Reviewed Exam File with Correct Answers!!
most likely cause of the following symptoms
1. frequent abdominal pain
2. nonbloody diarrhea
3. 20 lb weight loss
4. chronic intensely pruritic vesicular rash correct answers celiac sprue (autoimmune d/o)
inflammation of small bowel wall, blunting of villi (villous atrophy), resultant malabsorption
serum IgA tissue transglutaminase antibodies (TTG)
dermatitis herpetiformis
Signs of primary hyperaldosteronism, and diagnosis? correct answers 1. uncontrollable blood
pressure (more common in women)
2. weakness (or asymptomatic)
3. hypokalemia
morning plasma aldosterone/renin ratio (ratio 20 or more, and aldosterone level is 15 ng/dL)
What is thyroiditis? correct answers Inflammatory or destructive (can be subacute, acute, or
chronic)
ie thyroid can recover
1. period of hyperthyroidism (transient)
2. acute; period of hypothyroidism; chronic - leads to persistent hypothyroidism
in thyroidits, the thyroid is NOT MAKING any thyroid, just releasing premade thyroid, ie
transient hyperthyroidism
What does a thyroid panel show of someone with euthyroid sick syndrome? correct answers
abnormal TSH, Normal T4
patient has no symptoms of thyroid dz but are acutely ill w/ some critical illness
Most sensitive test for ACL tear? correct answers Lachman test
Signs of multiple myeloma end organ damage? correct answers 1. hypercalcemia
2. Renal Failure
3. Anemia
4. Skeletal lesions
MM signs - presence of M protein, monoclonal plasma cells, both
What is femoral neuropathy? correct answers mononeuropathy assd w/ DM, as well as
secondary to a number of conditions that are common in diabetics and not to the diabetes
itself
, Signs of polymyalgia rheumatic? correct answers 1. white women of european ancestry
2. > age 50
3. nml - elevated ESR
4. fever, night sweats, depression, fatigue, malaise, anorexia, weight loss
5. corticosteroid treatment (48-72 hour dramatic response)
What is the most common abnormality with refeeding syndrome? correct answers
hypophosphatemia
Initial management of hypercalcemia of malignancy? correct answers fluid replacement with
normal saline
Slipped capital femoral epiphysis? correct answers most common hip disorder between the
ages of 8 and 15 and is more common in boys and overweight or obese children. It presents
with limping and pain, and limited internal rotation of the hip is noted on physical
examination.
What is the treatment for WPW? correct answers 1. Procainamide
2. Amiodarone
Treatment for nursing hoome-acquired pneumonia? correct answers 1. antipseudomonal
cephalosporin - such as cefepime or ceftazidime
and 1 of:
2. carbapenem such as imipenem or meropenm
3. extended spectrum b-lactam/b-lactamase inhibitor - (pip/tazo)
4. fluoroquinolone - such as levofloxacin or ciprofloxacin
5. aminoglycoside - gentamicin, tobramycin, amikacin
PLUS
anti-MRSA ie vancomycin or linezolid
What is the classic presentation of intussuception correct answers children under the age of 2
years
- paroxysms of colicky abdominal pain
- mass palpable in 2/3 of patients
When should teriparatide be initiated? correct answers 1. severe osteoporosis
2. multiple osteoporosis risk factors
3. failure of bisphosphonate therapy
- therapy limited to 2 years
- contraindicated in pts with history of bone malignancy, paget disease, hypercalcemia,
previous treatment with skeletal radiation
Reviewed Exam File with Correct Answers!!
most likely cause of the following symptoms
1. frequent abdominal pain
2. nonbloody diarrhea
3. 20 lb weight loss
4. chronic intensely pruritic vesicular rash correct answers celiac sprue (autoimmune d/o)
inflammation of small bowel wall, blunting of villi (villous atrophy), resultant malabsorption
serum IgA tissue transglutaminase antibodies (TTG)
dermatitis herpetiformis
Signs of primary hyperaldosteronism, and diagnosis? correct answers 1. uncontrollable blood
pressure (more common in women)
2. weakness (or asymptomatic)
3. hypokalemia
morning plasma aldosterone/renin ratio (ratio 20 or more, and aldosterone level is 15 ng/dL)
What is thyroiditis? correct answers Inflammatory or destructive (can be subacute, acute, or
chronic)
ie thyroid can recover
1. period of hyperthyroidism (transient)
2. acute; period of hypothyroidism; chronic - leads to persistent hypothyroidism
in thyroidits, the thyroid is NOT MAKING any thyroid, just releasing premade thyroid, ie
transient hyperthyroidism
What does a thyroid panel show of someone with euthyroid sick syndrome? correct answers
abnormal TSH, Normal T4
patient has no symptoms of thyroid dz but are acutely ill w/ some critical illness
Most sensitive test for ACL tear? correct answers Lachman test
Signs of multiple myeloma end organ damage? correct answers 1. hypercalcemia
2. Renal Failure
3. Anemia
4. Skeletal lesions
MM signs - presence of M protein, monoclonal plasma cells, both
What is femoral neuropathy? correct answers mononeuropathy assd w/ DM, as well as
secondary to a number of conditions that are common in diabetics and not to the diabetes
itself
, Signs of polymyalgia rheumatic? correct answers 1. white women of european ancestry
2. > age 50
3. nml - elevated ESR
4. fever, night sweats, depression, fatigue, malaise, anorexia, weight loss
5. corticosteroid treatment (48-72 hour dramatic response)
What is the most common abnormality with refeeding syndrome? correct answers
hypophosphatemia
Initial management of hypercalcemia of malignancy? correct answers fluid replacement with
normal saline
Slipped capital femoral epiphysis? correct answers most common hip disorder between the
ages of 8 and 15 and is more common in boys and overweight or obese children. It presents
with limping and pain, and limited internal rotation of the hip is noted on physical
examination.
What is the treatment for WPW? correct answers 1. Procainamide
2. Amiodarone
Treatment for nursing hoome-acquired pneumonia? correct answers 1. antipseudomonal
cephalosporin - such as cefepime or ceftazidime
and 1 of:
2. carbapenem such as imipenem or meropenm
3. extended spectrum b-lactam/b-lactamase inhibitor - (pip/tazo)
4. fluoroquinolone - such as levofloxacin or ciprofloxacin
5. aminoglycoside - gentamicin, tobramycin, amikacin
PLUS
anti-MRSA ie vancomycin or linezolid
What is the classic presentation of intussuception correct answers children under the age of 2
years
- paroxysms of colicky abdominal pain
- mass palpable in 2/3 of patients
When should teriparatide be initiated? correct answers 1. severe osteoporosis
2. multiple osteoporosis risk factors
3. failure of bisphosphonate therapy
- therapy limited to 2 years
- contraindicated in pts with history of bone malignancy, paget disease, hypercalcemia,
previous treatment with skeletal radiation
